Inhibitory Control of Saccadic Eye Movements and Cognitive Impairment in Mild Cognitive Impairment

Abstract

AbstractBackgroundMild cognitive impairment (MCI) may occur due to several forms of neurodegenerative diseases and non‐degenerative conditions and is associated with cognitive impairment that does not affect everyday activities. For a timely diagnosis of MCI to prevent progression to dementia, a screening tool of fast, low‐cost and easy access is needed. Recent research on eye movement hints it a potential application for the MCI screening. However, the precise extent of cognitive function decline and eye‐movement control alterations in patients with MCI is still unclear.MethodPatients with MCI (n = 79) and age‐matched cognitively healthy controls (HC) (n = 170) completed four saccadic eye‐movement paradigms: prosaccade (PS)/antisaccade (AS), Go/No‐go, and a battery of neuropsychological tests.ResultThe findings revealed significantly longer latency in patients with MCI than in HC during the PS task. Additionally, patients with MCI had a lower proportion of correct responses and a marked increase in inhibition errors for both PS/AS and Go/No‐go tasks. Furthermore, when patients with MCI made errors, they failed to self‐correct many of these inhibition errors. In addition to the increase in inhibition errors and uncorrected inhibition errors, patients with MCI demonstrated a trend toward increased correction latencies. We also showed a relationship between neuropsychological scores and correct and error saccade responses.ConclusionOur results demonstrate that, similar to patients with Alzheimer’s dementia (AD), patients with MCI generate a high proportion of erroneous saccades toward the prepotent target and fail to self‐correct many of these errors, which is consistent with an impairment of inhibitory control and error monitoring.